Individual
CECILIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 782-6600
Mailing address
525 N CRESCENT HEIGHTS BLVD, LOS ANGELES, CA 90048-2207
(866) 519-5262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
849770
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4432
CA
Other
Enumeration date
06/28/2011
Last updated
01/24/2017
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